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Table 6 Representative quotes for emerging themes from 18 follow-up phone interviews

From: Supporting healthful lifestyles during pregnancy: a health coach intervention pilot study

Theme

Representative Quote

Motivation

• “I want to be able to get my body back once I have the baby.”

• “I didn’t want high blood pressure, and thankfully I don’t have it anymore.”

• “Making sure the baby is healthy…number one was ‘what does he need?’”

Accountability

• “It was nice…to have someone that made me accountable…I didn’t have to do it on my own.”

• “It was really good to have a 3rd party outside of family and friends... [The health coach] helped me set goals and helped me keep track of where I stood with those goals.”

• “It was good having someone there that was sort of checking in on you so that you had that urge to please someone

Support

• “I had someone on my team…so it was good positive reinforcement. It was great to bounce stuff off...My coach helped me be able to better grasp the need to do these things and I think at this point, the fruit has become a habit that I will keep after the baby. Now I’m loving the fruit. He comes in with tangerines and now I’m tearing the fruit up!”

She was great and supportive.”

I always thought she was like a friend and she would go above and beyond to find answers...I felt like I could go to her even if it wasn’t for a call. If had a question I could reach out to her.”

Wishes for more Integration

• “…if it was more closely tied with the doctor’s appointments…It was too removed from the medical side.”

• “more integration with the doctors in general. If you’re already going in to see the doc once a month it would be great to see someone [a health coach] there already.”

• “If the health coach had access to medical records she could ask what has happened over the last two weeks if she sees you gained 2 pounds. Sometimes you don’t want to admit you gained weight to health coach, so it would be better if she already knew.”

Desire for More Resources

• “There’s no way to track your goal other than a conversation, so if there was some study app that made it a little more automated.”

• “I want more resources, not just a checkin to talk.”

• “Maybe offering some guidelines in the beginning…starting off with ‘try these meal planners’ or ‘try this calorie tracking app.’”

• “All the goals are just discussed verbally. Maybe having more concrete goals that are maybe a worksheet or something.”

  1. Boldface text highlights representative quotes from themes that emerged across all phone interviews